원발성 질암의 방사선치료

Radiation Therapy of Primary Carcinoma of the Vagina

A retrospective study was carried out of 20 patients with histologically proven invasivs carcinoma of the vagina from 1979 to 1993; 17 cases with curative primary radiotherapy and three cases with postoperative radiotherapy. The five and ten year overall survival rates were 79% and 53%, respectively. Survival was strongly correlated with stage. Five year survival rates of stage Ⅰ, stage Ⅱ, and stage Ⅲ, Ⅳ were 100%, 78%, and 0%, respectively. Eight patients experienced recurrences; five within the irradiated volume, two distant metastasis, and one combined both local and distant metastasis. there was no significant late complication. From these data, radiation is effective in the management of the vaginal cancer patients and optimum treatment modality and total dose recommendation are made.